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一名持续性乙肝表面抗原肝硬化患者出现一例具有抗Pr1d特异性的单克隆IgAκ冷凝集素新病例。

A new case of monoclonal IgA kappa cold agglutinin with anti-Pr1d specificity in a patient with persistent HB antigen cirrhosis.

作者信息

Tonthat H, Rochant H, Henry A, Leporrier M, Dreyfus B

出版信息

Vox Sang. 1976;30(6):464-8. doi: 10.1111/j.1423-0410.1976.tb02852.x.

DOI:10.1111/j.1423-0410.1976.tb02852.x
PMID:818814
Abstract

A new case of cold agglutinin disease in a patient who had a long lasting Raynaud's phenomenon without hemolysis and a persistent HB antigen cirrhosis, is reported. The cold agglutinin is a monoclonal IgA kappa antibody which reacts at 4degreesC to a titer of 256. As the three other cases described in the literature, it demonstrates Pr1 specificity. The eluate from human cells reacts with rat and dog cells whose receptor is destroyed by both papain and neuraminidase, thus eliciting the characteristic Pr1d specificity.

摘要

报告了一例新的冷凝集素病患者,该患者长期患有雷诺现象但无溶血,且患有持续性乙肝抗原性肝硬化。冷凝集素是一种单克隆IgA κ抗体,在4℃时反应效价为256。与文献中描述的其他三例病例一样,它表现出Pr1特异性。从人细胞中洗脱的物质与大鼠和狗细胞反应,其受体被木瓜蛋白酶和神经氨酸酶破坏,从而引发特征性的Pr1d特异性。

相似文献

1
A new case of monoclonal IgA kappa cold agglutinin with anti-Pr1d specificity in a patient with persistent HB antigen cirrhosis.一名持续性乙肝表面抗原肝硬化患者出现一例具有抗Pr1d特异性的单克隆IgAκ冷凝集素新病例。
Vox Sang. 1976;30(6):464-8. doi: 10.1111/j.1423-0410.1976.tb02852.x.
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An IgA high-titer cold agglutinin with an unusual blood group specificity within the Pr complex.一种IgA高效价冷凝集素,在Pr复合体内具有不寻常的血型特异性。
Vox Sang. 1973;25(1):32-8. doi: 10.1111/j.1423-0410.1973.tb05208.x.
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IgA cold agglutinins recognize Pr and Sa antigens expressed on glycophorins.IgA 冷凝集素识别糖蛋白上表达的 Pr 和 Sa 抗原。
Transfusion. 1993 Jun;33(6):472-5. doi: 10.1046/j.1537-2995.1993.33693296808.x.
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[Low titer cold agglutinin disease due to anti-HI antibody and a review of this disease in Japan].[抗-HI抗体所致低滴度冷凝集素病及日本该疾病综述]
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Anti-T agglutinin in cirrhosis of the liver.肝脏肝硬化中的抗 - T凝集素
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Restriction in the repertoire of the immunoglobulin light chain subgroup in pathological cold agglutinins with anti-Pr specificity.具有抗-Pr特异性的病理性冷凝集素中免疫球蛋白轻链亚群库的限制。
Vox Sang. 2004 Feb;86(2):141-7. doi: 10.1111/j.0042-9007.2004.00401.x.
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Proc Natl Acad Sci U S A. 1976 Dec;73(12):4471-3. doi: 10.1073/pnas.73.12.4471.
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[Cirrhosis with monoclonal immunoglobulin followed by the development of an hepatoma].伴有单克隆免疫球蛋白的肝硬化随后发展为肝癌
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Diffuse large-cell lymphoma with monoclonal IgM kappa and cold agglutinin.
Am J Clin Pathol. 1986 Jul;86(1):120-3. doi: 10.1093/ajcp/86.1.120.

引用本文的文献

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Development of Multiple Myeloma of the IgA Type in a Patient with Cold Agglutinin Disease: Transformation or Coincidence?一名冷凝集素病患者发生IgA型多发性骨髓瘤:转化还是巧合?
Case Rep Hematol. 2019 Mar 4;2019:1610632. doi: 10.1155/2019/1610632. eCollection 2019.
2
Anti-Sa cold agglutinin of IgA class requiring plasma-exchange therapy as early manifestation of multiple myeloma.IgA 类抗 Sa 冷凝集素作为多发性骨髓瘤的早期表现需要血浆置换治疗。
Ann Hematol. 1993 Jun;66(6):315-8. doi: 10.1007/BF01695974.